Dr. Nicole Troy, MD
563 W Bagley Rd, 2nd Floor, Berea, OH 44017 • +1-858-555-5250
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Berea Percentiles
NPI #1538115639 • CBSA Regional • Family Practice
Within the Berea, OH (CBSA local) Family Practice cohort, Dr. Nicole Troy, MD with sub-specialty concentration in 30 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 26.13th OH percentile (-0.29σ Z-score) based on 875 billed procedures for 126 patients.
Fee-schedule auditing of NPI 1538115639 highlights 338 annual claims for 99214 (12th Berea percentile; $78–$107 self-pay corridor) plus 249 encounters under 99213 and 96 under G0439.
Direct cash-pay transparency modeling sets Dr. Troy's baseline new-consult rate near $209.00 in Berea, OH (cash-pay accepted, hybrid in-clinic and telehealth video consults, 15-minute average reception wait).
NPI registry verification (#1538115639) confirms Dr. Nicole Troy's MD standing serving CBSA 44017 with a 4.88/5 patient scorecard.
Compared against Berea, OH Family Practice peers
875 annual services across 126 beneficiaries
Standard deviations from OH Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 338 | 12th | $78 – $107 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 249 | 12th | $60 – $82 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 96 | 12th | $89 – $122 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 72 | 12th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 48 | 12th | $107 – $146 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (30 HCPCS billing breadth) | 71 | 0th | $70 – $102 |
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Dr. Nicole Troy, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Troy National Provider Identifier | NPI #1538115639 (MD) | CMS NPPES Registry (44017) |
| Dr. Troy Berea CMS Volume Rank | 0.00th Pct (875 CMS svcs; Z -0.287σ) | CMS Medicare Part B (OH Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Berea, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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